| Kmcd Counseling Pllc | |
|
5912 El Morro Ln Oak Forest IL 60452-1922 | |
| (708) 560-3069 | |
| Not Available |
| Full Name | Kmcd Counseling Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5912 El Morro Ln, Oak Forest, Illinois |
| Authorized Official Name and Position | Kelsey M Dagenais (OWNER) |
| Authorized Official Contact | 7085603069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kmcd Counseling Pllc 5912 El Morro Ln Oak Forest IL 60452-1922 Ph: (708) 560-3069 | Kmcd Counseling Pllc 5912 El Morro Ln Oak Forest IL 60452-1922 Ph: (708) 560-3069 |
| NPI Number | 1366211492 |
|---|---|
| Provider Enumeration Date | 12/29/2023 |
| Last Update Date | 12/29/2023 |
| Certification Date | 08/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366211492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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